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General NPI Number Information
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NPI Number | 1316695919
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Entity Type | Organization
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Legal Business Name | LIMITLESS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/13/2022
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 1207 S LEE ST
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City | FORT GIBSON
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State | OK
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Zip | 74434-8757
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Country | US
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Telephone | 918-207-7298
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Fax |
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Provider Business Mailing Address
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Address Line | 23052 HIGHWAY 82
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City | PARK HILL
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State | OK
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Zip | 74451-4154
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Country | US
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Telephone | 918-207-7298
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAITLIN LUBBERS
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Credential | DPT
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Telephone | 918-207-7298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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